| NPI | 1164804670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.145096) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01092217A) |
| 207R00000X Internal Medicine (Licence: IL 036.145096) | |
| 207R00000X Internal Medicine (Licence: MA 286135) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-10-07 |